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慢性心力衰竭患者外周血中微小RNA-214和半乳糖凝集素-3的表达及其临床意义

Expression of microRNA-214 and galectin-3 in peripheral blood of patients with chronic heart failure and its clinical significance.

作者信息

Han Ruimei, Li Ke, Li Li, Zhang Lili, Zheng Hongchao

机构信息

Department of Cardiology, Shanghai Xuhui Central Hospital, Shanghai 200031, P.R. China.

Department of Cardiology, The People's Hospital of SND, Suzhou, Jiangsu 215129, P.R. China.

出版信息

Exp Ther Med. 2020 Feb;19(2):1322-1328. doi: 10.3892/etm.2019.8318. Epub 2019 Dec 12.

Abstract

Expression of microRNA (miR)-214 and galectin-3 (Gal-3) in peripheral blood of patients with chronic heart failure (CHF) and its clinical significance were investigated. A total of 50 cases of CHF patients, diagnosed and treated in Shanghai Xuhui Central Hospital from January 2017 to March 2018, were the study group and 30 healthy subjects who underwent physical examination during the same period were the control group. Concentration of serum Gal-3 was detected by ELISA and the expression of miR-214 in serum was detected by RT-qPCR. The expression of miR-214 and Gal-3 in the peripheral blood of CHF patients were analyzed. The diagnostic and predictive values of efficacy were analyzed by ROC curve analysis, and the correlation between miR-214 and Gal-3 was analyzed by Pearson's correlation analysis. The serum expression levels of miR-214 and Gal-3 in the observation group were significantly higher than those in the control group, with statistically significant difference (P<0.05). Pearson's correlation analysis revealed that the expression levels of miR-214 and Gal-3 were positively correlated in the peripheral blood of CHF patients (r=0.712, P<0.05). The area under curve (AUC) of miR-214 and Gal-3 for CHF diagnosis was 0.916 and 0.852, respectively (P<0.05). The AUC for predicting the efficacy of miR-214 and Gal-3 was 0.874 and 0.897, respectively (P<0.05). In conclusion, it is speculated that miR-214 and Gal-3 are involved in the occurrence and development of CHF, which is of guiding significance for the clinical diagnosis and monitoring of CHF.

摘要

研究慢性心力衰竭(CHF)患者外周血中微小RNA(miR)-214和半乳糖凝集素-3(Gal-3)的表达及其临床意义。选取2017年1月至2018年3月在上海徐汇区中心医院诊断并治疗的50例CHF患者作为研究组,同期进行体检的30例健康受试者作为对照组。采用酶联免疫吸附测定法(ELISA)检测血清Gal-3浓度,采用逆转录-定量聚合酶链反应(RT-qPCR)检测血清中miR-214的表达。分析CHF患者外周血中miR-214和Gal-3的表达情况。通过曲线下面积(ROC)分析评估miR-214和Gal-3的诊断及预测疗效价值,采用Pearson相关性分析miR-214与Gal-3之间的相关性。观察组血清miR-214和Gal-3表达水平显著高于对照组,差异有统计学意义(P<0.05)。Pearson相关性分析显示,CHF患者外周血中miR-214与Gal-3表达水平呈正相关(r=0.712,P<0.05)。miR-214和Gal-3诊断CHF的曲线下面积(AUC)分别为0.916和0.852(P<0.05)。miR-214和Gal-3预测疗效的AUC分别为0.874和0.897(P<0.05)。综上所述,推测miR-214和Gal-3参与CHF的发生发展,对CHF的临床诊断及监测具有指导意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71bb/6966201/79ea45fe2888/etm-19-02-1322-g00.jpg

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